Amends the Elementary and Secondary Education Act of 1965 to reauthorize appropriations for the 21st Century Community Learning Centers and the Carol M. White Physical Education Program. Amends the Higher Education Act of 1965 to reauthorize appropriations for Federal TRIO Programs and Gaining Early Awareness and Readiness for Undergraduate Programs (GEARUP).

Amends part A of title IV (Temporary Assistance to Needy Families) (TANF) of the Social Security Act (SSA) to award grants to states for reducing teen pregnancy and teen births. Amends the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 to require the Secretary to establish a national goal of reducing teen pregnancy by at least one-third over ten years.

Authorizes the Secretary to make matching grants to assist entities in demonstrating innovative approaches to teen pregnancies, such as facilitating communication between parents and children.

Requires the Secretary to award grants to organizations to establish and operate a national initiative for parents of adolescents to reduce teen pregnancy.

Directs the Secretary of Education to award demonstration grants to community colleges for the purpose of developing and implementing innovative approaches to prevent unplanned pregnancy and promote healthy relationships among women and men in community colleges.

Amends title XIX (Medicaid) of SSA to expand coverage of family planning services.

Expands and extends postpartum health care coverage for women under Medicaid and the Children's Health Insurance Program (CHIP, formerly known as SCHIP). Expands the definition of "low-income child" under CHIP.

Title X Family Planning Services Act of 2009 - Authorizes appropriations for the establishment and operation of voluntary family planning projects.

Amends the Public Health Service Act to prohibit individual health insurance issuers from imposing any preexisting condition exclusions relating to pregnancy as a preexisting condition. Requires such issuers to provide coverage for maternity services.

Authorizes the HHS Secretary to make grants for the purchase of ultrasound equipment.

Requires the HHS Secretary to make grants to enable states to better identify and treat women who are victims of, or at risk of, domestic violence, dating violence, sexual assault, sexual coercion, or stalking.

Authorizes the Secretary of Education to make grants to institutions of higher education to assist students who have decided to carry their pregnancies to term in continuing their studies and graduating.

Requires the HHS Secretary to award grants for a national information campaign to educate the public about adoption.

Amends the Internal Revenue Code to increase and make refundable the tax credit for adoption expenses.

Revises and authorizes appropriations for the special supplemental nutrition program for women, infants, and children (WIC program).

Requires the HHS Secretary to enter into an agreement with the Institute of Medicine to study the range of choices women make in response to unintended pregnancy.